5 Questions About How Employees Find Doctors
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For Health Plans
Win employer business and improve plan performance — without disrupting your infrastructure
Garner’s turnkey solution modernizes health plan performance by delivering better provider rankings, more accurate directories, and dynamic benefit design—without disrupting networks, filings, or administration.
- 75%
- of all U.S. medical claims nationally
- 650+
- physician metrics across 88 specialties
- 92%
- accuracy of our phone and address directory
- Proprietary analytics that go far beyond traditional episodic groupers and black-box rankings
Lower claims costs through a proven incentive model
Garner pairs best-in-class provider rankings with an innovative incentive account that encourages members to choose high-value care.
This approach enables health plans to offer richer benefit designs (including first-dollar coverage options), lower total plan costs by 12%, and improve underwriting margin and renewal competitiveness.
Zero disruption to your health plan
Garner works with your existing plans and provider networks, requiring no custom integrations or operational changes. The solution is fully compliant with payer–provider contracts and does not require refiling medical plans.
Unmatched member experience
By solving directory issues and taking the guesswork out of finding high-quality care, Garner offers an unmatched experience for health plan members.
Identify high-impact employer opportunities
Use Garner’s claims-based insights to identify employer groups with rising trend, renewal pressure, or opportunity for alternative plan designs.
Enhance existing plans — without disruption
Layer Garner onto existing plans and provider networks to enable richer benefit designs and meaningful incentives for high-value care — with no changes to plan filings, networks, or administration.
Improve plan performance and competitiveness
By steering care to top-performing providers, Garner helps health plans lower total cost of care, improve underwriting margin, and deliver more competitive renewals over time.
Garner’s analytics are broader and deeper than any individual plan
Garner Health
Average national carrier
Patients in dataset
320+ million
75 million
# of specialities ranked
88
17
# of individual metrics
650+
73
Average member engagement rate
46%
25%
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Discover how Garner can benefit your business
FAQs
Garner gives health plans the technology to compete as employers move to alternative plan designs that reward members for seeing high-quality doctors. Most plans cannot offer those designs today because their provider rankings are shallow, few members use their directories, and their claims systems cannot adjudicate a dynamic copay.
Garner supplies all three. A plan can offer its employer groups a proven incentive product and share in the savings. Or it can build Garner's rankings, member search, and adjudication into its own plan designs without rebuilding its infrastructure. Either way, the plan wins new employer business and holds renewals it would otherwise lose.
No. Garner sits on top of your existing network, with no changes to plan filings, networks, or administration. Garner recommends providers within your network, and plans can also link to Garner from their member portal or directory. Garner’s concierge team hands plan benefits and clinical questions back to your team.
Garner’s dataset includes over 60 billion medical records covering 320 million patients. It scores doctors on more than 650 specialty-specific metrics across 88 specialties.
Every metric is grounded in current clinical research, reviewed by Garner's in-house clinical team and physician consultants, and kept current by the Garner Research Agent, which continuously scans new literature. They measure how each doctor actually practices, including adherence to clinical guidelines, diagnostic accuracy, prescribing patterns, and patient outcomes. Most carrier tiering programs rely instead on episode groupers and national benchmarks. Doctors cannot pay to be ranked.
Garner ingests millions of data points every day from provider billing locations, new patient visit codes, and online profile updates, and validates the directory in real time with proprietary AI. For the top-ranked providers it recommends, Garner's team also manually verifies phone numbers and addresses, so the directory shows in-network doctors who are accepting new patients and have near-term availability at 94% accuracy, double the industry average.
It depends on which product the plan offers. With Garner Core, the employer group funds an incentive account, either an HRA that reimburses cost sharing or a first-dollar HSA contribution, that pays out when a member sees a Garner-recommended provider, and Garner administers it. With Powered by Garner, the reward is built into the plan design itself as a lower copay for high-quality doctors, and Garner supplies the adjudication so the plan's claims system does not have to.
Garner needs two standard files from the plan: an eligibility feed and a weekly claims feed, using the plan's existing claim specification. No custom or manual integration is required. Members reach Garner through a link on the plan's member portal, and plans can implement in under 60 days for groups of any size.